| NPI | 1902267206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN184651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN184651) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-05-09 |